• 제목/요약/키워드: cooperative treatment

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양.한방 협진을 운영하는 종합병원 외래진료부의 공간 구성 및 면적분석에 관한 연구 (A Study on the Spatial Composition and Area Analysis of O.P.D in General Hospitals that Offer the Cooperative Treatment between Western and Oriental Medicine)

  • 박유선;박재승
    • 한국실내디자인학회논문집
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    • 제19권2호
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    • pp.216-224
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    • 2010
  • This study aims to examine a special type of hospital known as Western Oriental medicine treatment designed to provide the best treatment by combining the advantages of Western and Oriental medicine, The actual conditions of the organizations and operations of O.P.D and how the cooperative treatment between Western and Oriental medicine is conducted at general hospitals that operate the cooperative treatment by applying a drawing analysis and an area analysis, and provide materials that help design hospitals that offers the cooperative treatment based on the information. According to the results of this study, the forms of the cooperative treatment between Western and Oriental medicine included several methods; to operate the cooperative center separately between an Oriental hospital and a general hospital, to operate the cooperative hospital, using several floors for an Oriental hospital inside a general hospital, and to operate the cooperative center in specialized centers inside a general hospital and the type of cluster that offers the cooperative treatment in specialized centers is known as the best appropriate treatment.

뇌졸중 환자의 양${\cdot}$한방 협진에 대한 연구 (A Study on Cooperative Treatment with Both the Western and Oriental Medical Department in C.V.A patients)

  • 김대환;김지혁
    • The Journal of Korean Physical Therapy
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    • 제16권3호
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    • pp.32-49
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    • 2004
  • The primary purpose of this study was to provide the basic materials for C.V.A inpatients' actual use of medical service at the hospital with both the western and oriental medical department and the attitude on cooperative treatment. The results of this study were as follow: First, the subjects' general characteristics including job, monthly mean income and age made statistical differences to their pathological characteristics such as part of primary paralysis, detailed name of disease and cause of elicitation. Second, their general characteristics including religion and job produce statistical difference to their actual use of medical service, like medical institution form, term of treatment and type of medical institution at first-aid. Third, through the awareness of cooperative treatment system, the effect of C.V.A treatment and the shorten of the C.V.A treatment term were higher at oriental medical department inpatients and cooperative treatment serviced inpatients than western medical department inpatients and cooperative treatment non-serviced inpatients. Fourth, the biggest problem on current dual medical system is increase medical expenses and the biggest reason on not vitalized cooperative service is prejudice of both parts.

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필러시술이후 발생한 부작용의 한.양방 병행치료 1례 (Oriental-western Cooperative Treatment Clinical Sudy of Side Effect after Filler Injection Glabella Region)

  • 김봉현;남혜정
    • 한방안이비인후피부과학회지
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    • 제24권2호
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    • pp.79-86
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    • 2011
  • Objective : The purpose of this study is to report the oriental-western cooperative treatment on opthalmic and dermatologic disease caused by adverse effect of filler injection galbella region. Method : After filler injection, a patient suffers from spontenous blineness and palsy of oculomotor and trochlear nerve on right eye and erythema on glabella and nasal region. She is admitted to kyung-hee oriental hospital for 2 weeks with oriental(herbal-medicine, acupunture and nega treatment) and western(department of opthalmology, dermatology and plastic surgery measurement) treatment. Result & Conclusion : Nerve palsy was recovered near to normal. And skin legion was proceeded to recovery period without any complication. This recovery speed with oriental-western cooperative treatment is much faster than usual treatment.

초등학교 과학 수업에서 학생들의 수행 목표 지향성 수준에 따른 협동 학습의 효과 (The Effects of Cooperative Learning by Students' Performance Goal Orientation in Elementary Science Classes)

  • 고한중;김연실;강석진
    • 한국초등과학교육학회지:초등과학교육
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    • 제29권3호
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    • pp.307-315
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    • 2010
  • In this study, we investigated the effects of cooperative learning by the levels of students' performance goal orientation in science classes on 6th graders' science achievement and science learning motivation. Two classes (47 students) from an elementary school were respectively assigned to a control group and a treatment group. A performance goal orientation test and a science learning motivation test were administered as pretests. The intervention of cooperative learning lasted for 24 class periods. A researcher-made achievement test and the science learning motivation test were administered after the instructions. ANCOVA results indicated that the score of the treatment group was significantly higher than that of the control group in the achievement test. However, no interaction was found between the cooperative learning treatment and the levels of students' performance goal orientation. There were significant aptitude-treatment interactions in science learning motivation.

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협동기술 훈련이 초등학생의 과학 학습에 미치는 효과 (The Effect of Cooperative Skill Training on Elementary School Students생 Learning in Science)

  • 한영욱;박수경;김대홍
    • 한국초등과학교육학회지:초등과학교육
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    • 제19권1호
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    • pp.29-39
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    • 2000
  • The purpose of this study was to investigate the effect of cooperative skill training on elementary school students' science achievement and self-esteem. Three different groups were used in this study. For the two treatment groups, cooperative loaming strategies were used and the one control group, traditional instruction was used. One of the treatment group was trained cooperative skills before the instruction. A total of 120 children sampled from 5th graders of a elementary school. All groups were taught about the change of the weather and structure of the plants. After the instruction a researcher made science achievement test and questionnaire of self-esteem were administered. The data analysis consisted of a 3(instructional strategies)×3(learning ability level) ANCOVA on the score of the achievement and self-esteem. The ANCOVA results revealed that there were significant main effect in the scores of achievement and also significant interaction effect between the instructional strategies and learning ability. The performance of high-level students in two treatment groups was higher than that of students in the control group, but the performance of high-level students with cooperative skill training was not higher than that of students without cooperative skill training. However, the performance of medium and low-level students with cooperative skill training was higher than that of students without cooperative skill training. The significant main effect was also found in the self-esteem but there were no significant interactions between the instructional strategies and learning ability. The academic self and social self of students with cooperative skill training was higher than that of students without cooperative skill training.

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교통사고 후 경항통 발생환자 중 약침치료군, 추나치료군, 추나약침 병행치료군 비교연구 (The Comparative Study on the Effect of Pharmacopuncture Treatment, Chuna Treatment, Pharmacopuncture - Chuna Cooperative Treatment for Neck Pain Caused by Traffic Accidents)

  • 이준석;이슬지;남지환;김기원;이민정;임수진;전재윤;송주현
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.87-95
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    • 2012
  • Objectives : This study was aimed at comparing clinical effectiveness among pharmacopuncture treatment, Chuna treatment, pharmacopuncture-Chuna cooperative treatment for neck pain caused by traffic accidents. Methods : This study was carried out on the 87 patients with neck pain caused by traffic accidents. The patients were divided into 3 groups ; group A was treated with pharmacopuncture. group B was treated with Chuna treatment. group C was treated with pharmacopuncture and Chuna cooperative treatment one at a time. Also all groups were treated with general acupuncture and herb-medicine treatment. We measured visual analog scale(VAS) and neck disability index(NDI) before the treatment and 2, 4 weeks later. Results : In result each group had significant decrease in VAS and NDI after 4 weeks later. group C showed significant difference as compared to group A and B in NDI and VAS scores. In the first period(from pre to 2 weeks treatment) group C showed significant difference as compared to group A and B in VAS scores. Conclusions : According to the results of this study, it was suggested that chuna treatment and pharmacopuncture are effective in reducing neck pain caused by traffic accidents. Pharmacopuncture and Chuna cooperative treatment was more effective in reducing neck pain caused by traffic accidents. Especially in the first period(from pre to 2 weeks treatment) pharmacopuncture-Chuna cooperative treatment was more effective than pharmacopuncture treatment, Chuna treatment for neck pain caused by traffic accidents.

협진병원 근무 의사들과 종합병원 근무 의사들의 양.한방 협진에 대한 인식도 (Consciousness on Co-operative Practices between Doctors Who Working in Cooperative Practicing Hospitals and General Hospital)

  • 류지선;임병묵;조병만;이원철;윤태호
    • 대한예방한의학회지
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    • 제13권3호
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    • pp.29-41
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    • 2009
  • Objectives : This study was performed to compare consciousness of doctors on cooperative practices of western medicine and traditional Korean medicine, and to provide policy implication for development of cooperative practices. Methods : The structured questionnaires were mailed to 132 doctors working in non-cooperative practicing university hospital and 77 doctors working in cooperative practicing hospitals in Busan metropolitan city. The response rate was 40.2% and 40.3% respectively. This survey was performed from 10 Oct. 2008 to 31 Oct. 2008. Results : The doctors working in general hospital had comparatively negative consciousness on basic concept, value and necessity for cooperative practices and traditional Korean medicine. In regards with disease treatment's effectiveness of cooperative practices, both groups evaluated musculoskeletal and immune disease were more effective than others. There were positive relationships between perception for cost-effectiveness and consciousness on intention to participate cooperative practices(p<0.05). Also doctors who experienced traditional medicine treatment had positive consciousness on cooperative practices(p=0.05). Conclusions : To activate cooperative practices of western medicine and traditional Korean medicine, some efforts should be carried out. These include promoting cooperative education programs in medical schools and traditional Korean medical schools, doing research on cost-effectiveness of cooperative practices, and trying to minimize legal and systemic restrictions for cooperative practices.

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교통사고 후 경항통 발생환자 중 Trigger Point 치료군, 자가운동 치료군, Trigger Point 및 자가운동 병행 치료군 비교연구 (The Comparative Study on the Effect of Trigger Point Treatment, Self-Exercise Treatment, Trigger Point - Self-Exercise Cooperative Treatment for Neck Pain Caused by Traffic Accidents)

  • 이현재;박정오;오민석
    • 한방재활의학과학회지
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    • 제24권2호
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    • pp.131-140
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    • 2014
  • Objectives This study was aimed at comparing clinical effectiveness among trigger point treatment, Self-exercise treatment, trigger point - self-exercise cooperative treatment for neck pain caused by traffic accidents. Methods 63 patients with neck pain by traffic accidents were divided into 3 groups. Different types of treatments were carried out for each groups ; group A with trigger point, group B with self-exercise, group C with trigger point and self-exercise cooperative treatment. 3 groups were also treated with general acupuncture and herb-medicine treatment. Pain threshold, visual analogue scale (VAS), and neck disability index (NDI) were checked on a daily basis. SPSS ver. 18.0 for Windows was used for analysis of data. The effectiveness of treatment of each groups were verified by using paired test and one-way repeated-measures ANOVA test, and the comparison of VAS, NDI and pain threshold were demonstrated by independent samples t-test. Results 3 groups all showed significant difference in pain threshold, VAS and NDI after 8 days later. Group C showed more improvement in pain threshold, VAS and NDI than shown in group A and B. In the first period (from pre-treatment to 4th day treatment) group C showed significant difference in NDI and pain threshold but not in VAS as compared to group A and B. In the second period (from 4th treatment to 8th day treatment), Group C showed significant difference in pain threshold, VAS and NDI as compared to group A and B. Conclusions Trigger point - self-exercise cooperative treatment is proved to be more helpful to improve the unstability and reduce neck pain than trigger point treatment or self-exercise treatment only, therefore eventually leading to better satisfaction for patients with neck pain.

한의학과 서양의학의 협진 프로세스를 통한 협진 현황 보고 (A Report on the Status of Cooperation through the Korean Medicine and Western Medicine Collaboration Process)

  • 이강준;이규래;송윤경
    • 한방재활의학과학회지
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    • 제29권3호
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    • pp.129-139
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    • 2019
  • Objectives The purpose of this study is to investigate present status of cooperation through Korean medicine and Western medicine collaboration process. Methods We have established Korean medicine and Western medicine collaboration process to examine the status of cooperation. The medical records were investigated retrospectively, the general characteristics of gender, age of cooperative patients, classification of disease, frequency of medical treatment and type of insurance were analyzed. Results The Korean medicine and Western medicine collaboration process conducted in 4 stages, the convenience of patient movements is considered. A total of 245 people received cooperative medical treatment, 156 were out-patient department (OPD) patients and 89 were hospitalized patients, both group have more women than men. When classified as disease, OPD patients were most diagnosed with Sprain and strain of lumbar spine, while hospitalized patients were most diagnosed with lumbar and other intervertebral disc disorders with radiculopathy. A total of 72.7% patients were received cooperative medical treatment at once. In a survey of cooperative satisfaction, 68.5% of all medical staff responded positively to the treatment effect, and 68.6% said the need for cooperation was necessary. Conclusions As a result of this study, we were able to see the present status of cooperation, and through this, we found an improvement in the continuation of the cooperation. Based on the present study, It is hoped that a cooperative process will emerge that can improve the problems shown in this study.

집단보상과 협동기술 훈련이 초등학생의 과학성취도와 학습동기에 미치는 효과 (The Effects of the Group Reward and Cooperative Skill Training on the Science Achievement and Learning Motivation of Elementary Students)

  • 박수경
    • 한국지구과학회지
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    • 제27권2호
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    • pp.121-129
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    • 2006
  • 본 연구는 협동학습에서 소집단 경쟁을 유도하는 집단보상과 소집단 구성원의 결속을 강조하는 협동기술 훈련의 효과를 비교하기 위하여 시도되었다. 이를 위하여 초등학교 6학년 3개 학급을 대상으로 문제중심 협동학습을 실시하였고 2개 학급에서는 각각 집단보상과 협동기술 훈련을 실시하였다. 학업성취도 면에서 이질적으로 구성된 소집단별로 진행된 협동학습 후에 세 집단의 과학성취도와 학습동기 점수를 성취도 수준별로 비교 분석하였다. 본 연구의 결과, 첫째, 집단보상과 협동기술 훈련이 과학성취도에 영향을 미쳤으며 학습자의 학업성취 수준에 따른 차이가 나타났다. 즉 성취 수준 상위인 학습자에게는 집단보상이 협동기술 훈련보다 효과적인 반면 하위인 학습자에게는 협동기술 훈련이 집단보상보다 효과적이었으며 중위인 학습자는 집단보상과 협동기술 훈련이 모두 효과적인 것으로 나타났다. 둘째, 집단보상과 협동기술 훈련이 학습동기에 영향을 미쳤으나 학습자의 학업성취 수준과는 관련이 없었다. 학습동기의 하위요소별로는 주의력 요소에는 효과가 없었으나 자신감과 만족감 요소에는 효과가 나타났다.